Lambano Sanctuary is a Christian NPO that responded to the HIV crises in 2001 by taking in Orphaned HIV plus children to live permanently in our facilities. In 2009 Lambano opened a Paediatric Medical Step-down Facility / Hospice to care for children with life limiting and life-threatening illnesses. The NPO works in collaboration with the Public and Private Medical fraternity.
Lambano seeks to appoint a Hospital Intake / Case Manager to be based in Germiston, Johannesburg.
Responsibilities:
- Carry out clinical coding in accordance with CPT and ICD requirements
- Ensure authorisation information is accurate and in accordance with hospital procedures
- Provide complete and accurate updates and discharge information of all accounts
- Keep patients and doctors informed
- Handle patient files in accordance with hospital procedures
- Timeous electronic submission of accounts and follow up on short payments arising from case management related issues
- Keep well informed on legislation pertaining to related care matters
- Visits relevant hospitals and doctors to speak about Lambano services
- Attend meetings with Hospitals relating to case management
- Initiate conversations with potential intake patients
- Facilitate conversations with medical aids on behalf of Lambano
- Meet monthly targets of patient in-takes per month
- Follow up on billing from patients and medical Aid companies
- Strict in following up patients and meeting deadlines
Requirements:
- Diploma/Degree in Nursing
- Registered with the South African Nursing Council as a Registered Nurse
- ICD10 and CPT coding experience
- Valid driver’s licence with acceptable driving record
- Ability to drive different company vehicles and a driving record that demonstrates safe driving practices
- Minimum three years’ experience of Medical Aid administration procedures and Hospital Case
- Management
- Knowledge of the rules and regulations regarding medical aid schemes is required
- Knowledge of patient administration systems, policies and procedures will be an advantage
- Knowledge of hospital billing and tariffs
- Intermediate knowledge of Microsoft Suite
- Medical report writing skills
- Communication skills and the ability to build strong partnerships
- Negotiation skills and the ability to interact with tact diplomacy
- Independent problem solving and decision-making skills
- Ability to function well in a team
- Accuracy and attention to detail skills to maintain high standards of work
- Understands the inter-relationships between business processes
- Experience in a managed healthcare environment will be a strong recommendation
- Maintain a customer-focused mindset that acknowledges the value of the customer
- A wealth of knowledge regarding patient intake procedures
- Ability to market Lambano Sanctuary and bring in patients to the facility
- Must show passion for working with under privileged children
- Creative and innovative
- Organisational and time management skills
- Stress tolerance with the ability to work under pressure and meet tight deadlines
- Ability to work in a team but also independently
- Flexible, adaptable, results oriented and goal achiever
- Out-going personality
- Professional business acumen
To apply, submit a CV, and a motivational letter, to [email protected] put “Hospital Case Manager” in the subject line.
Only shortlisted candidates will be contacted.
No calls will be accepted.
For more about Lambano Sanctuary, refer to www.lambano.org.za